Nghiên cứu ứng dụng kháng sinh Augmentin trong dự phòng nhiễm khuẩn sau phẫu thuật cột sống tại Bệnh viện Việt Đức

TCNCYH 68 (3) - 2010

Sunmary

STUDY ON A PREVALENCE OF NOSOCOMIAL INFECTION AND RISK FACTORS

IN INTENSIVE CARE UNIT OF THE NATIONAL HOSPITAL OF PEADIATRIC

Objective: Determine a prevalence and some risk factors for nosocomial Infection. Meteriais: 44

patients were treated in ICU, NHP. Methods: retrospective and prospective description study. Result:

Prevalence of nosocomial infection was 52 %, among them nosocomial pneumoniae: 82.6%, urine

infection, nosdcomial bloodstream infection and infection related to catheter. K.pneumoniae: 34.8%,

P.aeruginosa: 30.4%, K.pneumoniae sensitive with imipenem 100%, resistant with the third

tephalosporin and Aminoglytoside 100%. P.aeruginosa until sensitive with tiproploxatine, tefepime,

cefoperazone, imipenem, ceftazidim, amikacine and tobramycin. Mainly symptome of nosocomial

pneumoniae: fever, increasing mucous.crackle, increasing white blood cells, lung invelment on X - ray.

Conlusion: Prevalence of nosocomial infection was 52 %, among them nosocomial pneumoniae: 82.5%.

Longtime mechanical ventilation, reintubate many times, using antaacid, staying in hospital longtime were

the fattors intreased nosocomial infections.

Keywords: nosocomial infection, risk factors, nosocomial pneumonia

NGHIEN CL/U L/NG DUNG KHANG SINH AUGMENTIN TRONG

DU PHONG NHIEM KHUAN SAU PHAU THUAT COT SONG TAI • • • •

BENH VIEN VIET DL/C • • •

Nguyen Thj Hue\ Kieu Dinh Hiing', Nguyin Thj Lien HUdng^

'Trddng Dai hoc Y Ha Nc5i; 'Trddng Dai hoc DdOc Ha Ndi

O cac nddc phat trien, ngddi ta co xu hddng khdng sd dung khang sinh hoac chi sd dung dd phdng ddi

vdi cac trddng help md sach, ma vSn dai ket qua tdi. Muc tieu: danh gia hieu qua cua Augmentin khi chi

dinh dd phdng nhiim khuan Irong phiu thuat cc3( sc5'n^. Do'i tugng va phuang phdp nghien cdu: bay mdai

i)enh nhan ddcfc dieu tri khang sinh Augmentin, nhdm nghien cdu cd ba lam benh nhan ddc/c dieu tri dd

phong td lue //e/i me va tiem 3 lan trong vong 24 gid sau md, cdn lai ba lam benh nhan ddi chdng tiem

khang sinh sau md, khoang each 8 gid mot lan tiem sau md. Ket qua: cac loai benh ly cpf sdng ddde phau

Ihuat cua hai nhdm nghien cdu va ddi chdng cd sd tdang dong. Toan bo 100% benh nhan sau md 4 ngay

khdng cd dau hieu nhiem khuan. Hieu qua kinh te: Mdi benh nhan da tiet kiem ddac 349.165 dong so vdi

nhdm ddi chdng, vdi sd Iddng 35 henh nhan chung tdi da liet kiem 12.220.800 dong tien thudc khang sinh.

Bdn ludn vd ket ludn: nhdm nghien cdu da tiet kiem kinh phi va giam sd lan tiem khang sinh mot each cd

hieu qua.

Tu khoa: Augmentin, phlu thuat cpt song, khang sinh dif phong

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